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Idaho rates for HCPCS L6648

Upper extremity addition, shoulder lock mechanism, external powered actuator

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,331.09 / $3,221.89 / $3,221.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,403.98 / $2,540.30 / $2,540.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,854.42 / $2,540.30 / $2,616.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.84 / $2,699.85 / $3,832.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,449.52 / $3,641.16 / $3,832.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,356.14 / $3,742.97 / $5,614.46
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,682.96 / $2,779.01 / $4,024.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.13 / $1,750.12 / $2,771.03